Fox, Craig Douglas
Fox, Craig Douglas is an sole proprietor health care provider with primary practice located at 2 Wilson Ave , Washington PA 15301-3335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fox, Craig Douglas can be contacted via phone (724) 228-4550.Contact Information
Primary practice address
2 Wilson Ave
Washington PA 15301-3335
Phone: (724) 228-4550
Fax: (724) 228-3746
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD025638E | Pennsylvania |
Profile Details
NPI number | 1194701821 |
---|---|
LBN Legal business name | Fox, Craig Douglas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2005 |
Last updated | Jan 29th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194701821 | NPPES |
Pennsylvania | Other | 017701100 | BLACK LUNG |
Pennsylvania | MEDICAID | 000898547 | BLACK LUNG |
Pennsylvania | Other | 080008703 | BLACK LUNG |
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